Individual provider Active NPI

Linda Susan Davidson, MA,CCC,SLP,PC

  • Speech-Language Pathologist
  • Bronx, NY
National Provider Identifier
1215244082
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
011448 Issued in NY
Practice address
3265 Johnson Ave
Suite 208
Bronx, NY 10463-3539
Phone
(917) 301-4803
NPI assigned
Sep 1, 2010
Last updated
Jun 18, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 011448 NY Primary

Addresses

Primary practice location

3265 Johnson Ave
Suite 208
Bronx, NY 10463-3539

Mailing address

35 Round Hill Rd
#14C
Dobbs Ferry, NY 10522-3310
Phone (917) 301-4803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1215244082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 ROUND HILL RD",
            "address_2": "#14C",
            "city": "DOBBS FERRY",
            "state": "NY",
            "postal_code": "105223310",
            "telephone_number": "917-301-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3265 JOHNSON AVE",
            "address_2": "SUITE 208",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633539",
            "telephone_number": "917-301-4803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIDSON",
        "first_name": "LINDA",
        "middle_name": "SUSAN",
        "name_prefix": "Ms.",
        "credential": "MA,CCC,SLP,PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-01",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NY",
            "license": "011448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.